Thoracic and lumbar compression fractures: Difference between revisions
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==== | ==Background== | ||
*Also known as a "wedge fracture" | |||
*Only unstable if posterior ligament complex ruptures (requires a rotational force) | *Only unstable if posterior ligament complex ruptures (requires a rotational force) | ||
*Unlikely to cause cord damage | |||
{{Vertebral fractures and dislocations types}} | |||
==Clinical Features== | |||
*Mechanism: axial loading and flexion | *Mechanism: axial loading and flexion | ||
==Differential Diagnosis== | |||
==Evaluation== | |||
===Workup=== | |||
===Diagnosis=== | |||
*Suspect instability and obtain CT if: | *Suspect instability and obtain CT if: | ||
**Severe compression (>50% loss of vertebral height) | **Severe compression (>50% loss of vertebral height) | ||
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**Posterior cortex abnormality | **Posterior cortex abnormality | ||
==Management== | |||
==Disposition== | |||
==See Also== | |||
==External Links== | |||
==References== | |||
<references/> | |||
Revision as of 12:58, 24 October 2020
Background
- Also known as a "wedge fracture"
- Only unstable if posterior ligament complex ruptures (requires a rotational force)
- Unlikely to cause cord damage
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Clinical Features
- Mechanism: axial loading and flexion
Differential Diagnosis
Evaluation
Workup
Diagnosis
- Suspect instability and obtain CT if:
- Severe compression (>50% loss of vertebral height)
- Kyphosis >30deg
- Rotational component to injury
- Compression fracture at multiple sites
- Posterior cortex abnormality